CPT code 95719: EEG interpretation, each additional 12 hours, no video2026 Medicare rate & RVUs in West Virginia
Reports physician or qualified health care professional review and interpretation of an EEG without video for each additional 12-hour increment.
In West Virginia, Medicare pays $160.52 for 95719 in the office and $133.53 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95719 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95719 covers
This code covers a physician’s or other qualified health care professional’s review and interpretation of prolonged EEG recording without video. It is used for services such as neurologist or epileptologist interpretation of extended EEG monitoring for seizure evaluation, including recordings obtained in a hospital or outpatient setting. The service is the clinician’s analysis of the EEG data and resulting interpretation, not electrode application or the technical recording itself.
Report 95719 for each additional 12-hour increment following the initial no-video EEG service represented by 95717. The record should support the monitoring duration, the clinician’s review and interpretation, and a report addressing the EEG findings. For recordings that include video, use the corresponding video service instead; longer recording periods may fall under duration-specific codes such as 95721.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How West Virginia compares for 95719
Across 109 of 109 payment localities, the office rate for 95719 runs from $152.89 in Arkansas to $214.35 in Alaska. West Virginia pays $160.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$160.52
- Los Angeles, CA · California$177.31+$16.79
- Washington, DC area · District of Columbia$181.74+$21.22
- Miami, FL · Florida$179.18+$18.66
- Chicago, IL · Illinois$175.93+$15.41
- Manhattan, NY · New York$185.40+$24.88
- Alaska · Alaska$214.35+$53.83
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $154.23 | $127.05 |
| ArkansasArkansas | $152.89 | $126.21 |
| ArizonaArizona | $162.05 | $131.95 |
| Bakersfield, CACalifornia | $169.56 | $135.52 |
| Chico, CACalifornia | $168.81 | $134.76 |
| El Centro, CACalifornia | $168.85 | $134.80 |
| Fresno, CACalifornia | $168.81 | $134.76 |
| Hanford, CACalifornia | $168.81 | $134.76 |
| Madera, CACalifornia | $168.81 | $134.76 |
| Merced, CACalifornia | $168.81 | $134.76 |
| Modesto, CACalifornia | $168.81 | $134.76 |
| Napa, CACalifornia | $186.29 | $145.35 |
| Oxnard, CACalifornia | $175.67 | $138.95 |
| Redding, CACalifornia | $168.81 | $134.76 |
| Rest of CaliforniaCalifornia | $168.81 | $134.76 |
| Riverside, CACalifornia | $171.34 | $137.30 |
| Sacramento, CACalifornia | $174.65 | $138.52 |
| Salinas, CACalifornia | $173.92 | $137.92 |
| San Diego, CACalifornia | $176.07 | $138.92 |
| Marin County, CACalifornia | $194.52 | $150.72 |
| San Francisco, CACalifornia | $194.26 | $150.46 |
| San Benito County, CACalifornia | $198.48 | $153.69 |
| Santa Clara County, CACalifornia | $197.41 | $152.62 |
| San Luis Obispo, CACalifornia | $171.36 | $135.98 |
| Santa Cruz, CACalifornia | $176.27 | $138.53 |
| Santa Maria, CACalifornia | $174.05 | $137.83 |
| Santa Rosa, CACalifornia | $177.93 | $139.78 |
| Stockton, CACalifornia | $168.81 | $134.76 |
| Vallejo, CACalifornia | $185.92 | $144.98 |
| Visalia, CACalifornia | $168.81 | $134.76 |
| Yuba City, CACalifornia | $168.81 | $134.76 |
| ColoradoColorado | $168.30 | $135.25 |
| ConnecticutConnecticut | $173.15 | $139.69 |
| DelawareDelaware | $164.00 | $133.31 |
| Fort Lauderdale, FLFlorida | $171.98 | $140.51 |
| Rest of FloridaFlorida | $166.25 | $136.55 |
| Atlanta, GAGeorgia | $167.79 | $136.23 |
| Rest of GeorgiaGeorgia | $160.05 | $132.35 |
| Hawaii, Guam, HIHawaii | $169.91 | $134.59 |
| IowaIowa | $155.31 | $126.89 |
| IdahoIdaho | $156.20 | $127.62 |
| East St. Louis, ILIllinois | $168.03 | $139.46 |
| Rest of IllinoisIllinois | $164.15 | $135.79 |
| Suburban Chicago, ILIllinois | $173.22 | $141.32 |
| IndianaIndiana | $156.71 | $127.92 |
| KansasKansas | $155.48 | $127.40 |
| KentuckyKentucky | $157.75 | $130.13 |
| New Orleans, LALouisiana | $162.54 | $133.31 |
| Rest of LouisianaLouisiana | $157.84 | $130.35 |
| Metropolitan Boston, MAMassachusetts | $179.70 | $142.61 |
| Rest of MassachusettsMassachusetts | $168.16 | $135.45 |
| Baltimore area, MDMaryland | $172.73 | $139.40 |
| Rest of MarylandMaryland | $166.06 | $134.63 |
| Rest of MaineMaine | $157.34 | $128.76 |
| Southern Maine, MEMaine | $161.63 | $130.85 |
| Detroit, MIMichigan | $168.19 | $138.21 |
| Rest of MichiganMichigan | $160.82 | $132.46 |
| MinnesotaMinnesota | $161.32 | $129.35 |
| Metropolitan Kansas City, MOMissouri | $161.20 | $132.03 |
| Metropolitan St. Louis, MOMissouri | $162.16 | $132.59 |
| Rest of MissouriMissouri | $156.60 | $129.82 |
| MississippiMississippi | $154.73 | $127.99 |
| MontanaMontana | $164.99 | $133.92 |
| North CarolinaNorth Carolina | $158.24 | $129.26 |
| North DakotaNorth Dakota | $160.44 | $129.37 |
| NebraskaNebraska | $155.64 | $126.97 |
| New HampshireNew Hampshire | $166.48 | $134.14 |
| Northern New JerseyNew Jersey | $181.20 | $145.17 |
| Rest of New JerseyNew Jersey | $175.13 | $141.21 |
| New MexicoNew Mexico | $161.61 | $133.13 |
| NevadaNevada | $163.78 | $132.68 |
| NYC suburbs and Long Island, NYNew York | $189.08 | $152.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $176.67 | $142.65 |
| Queens, NYNew York | $185.48 | $148.76 |
| Rest of New YorkNew York | $159.75 | $130.24 |
| OhioOhio | $159.89 | $131.53 |
| OklahomaOklahoma | $156.93 | $129.19 |
| Portland, OROregon | $171.20 | $136.69 |
| Rest of OregonOregon | $162.48 | $131.54 |
| Metropolitan Philadelphia, PAPennsylvania | $170.68 | $138.35 |
| Rest of PennsylvaniaPennsylvania | $159.70 | $131.19 |
| Puerto RicoPuerto Rico | $165.54 | $134.13 |
| Rhode IslandRhode Island | $167.99 | $135.90 |
| South CarolinaSouth Carolina | $159.33 | $130.63 |
| South DakotaSouth Dakota | $159.90 | $128.84 |
| TennesseeTennessee | $156.03 | $127.80 |
| Austin, TXTexas | $167.77 | $134.90 |
| Beaumont, TXTexas | $159.10 | $130.84 |
| Brazoria, TXTexas | $163.56 | $132.77 |
| Dallas, TXTexas | $164.55 | $133.61 |
| Fort Worth, TXTexas | $164.06 | $133.43 |
| Galveston, TXTexas | $164.05 | $133.20 |
| Houston, TXTexas | $168.26 | $137.41 |
| Rest of TexasTexas | $161.22 | $131.74 |
| UtahUtah | $160.65 | $131.45 |
| VirginiaVirginia | $161.73 | $131.20 |
| Virgin Islands, VIUnited States Virgin Islands | $165.54 | $134.13 |
| VermontVermont | $160.61 | $129.86 |
| Rest of WashingtonWashington | $167.59 | $134.88 |
| King County, WAWashington | $181.98 | $143.87 |
| WisconsinWisconsin | $157.19 | $127.43 |
| WyomingWyoming | $163.00 | $131.94 |
95719 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$152.89
$214.35
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $214.35 | 1 |
| AL | $154.23 | 1 |
| AR | $152.89 | 1 |
| AZ | $162.05 | 1 |
| CA | $168.81–$198.48 | 29 |
| CO | $168.30 | 1 |
| CT | $173.15 | 1 |
| DC | $181.74 | 1 |
| DE | $164.00 | 1 |
| FL | $166.25–$179.18 | 3 |
| GA | $160.05–$167.79 | 2 |
| GU | $169.91 | 1 |
| HI | $169.91 | 1 |
| IA | $155.31 | 1 |
| ID | $156.20 | 1 |
| IL | $164.15–$175.93 | 4 |
| IN | $156.71 | 1 |
| KS | $155.48 | 1 |
| KY | $157.75 | 1 |
| LA | $157.84–$162.54 | 2 |
| MA | $168.16–$179.70 | 2 |
| MD | $166.06–$181.74 | 3 |
| ME | $157.34–$161.63 | 2 |
| MI | $160.82–$168.19 | 2 |
| MN | $161.32 | 1 |
| MO | $156.60–$162.16 | 3 |
| MS | $154.73 | 1 |
| MT | $164.99 | 1 |
| NC | $158.24 | 1 |
| ND | $160.44 | 1 |
| NE | $155.64 | 1 |
| NH | $166.48 | 1 |
| NJ | $175.13–$181.20 | 2 |
| NM | $161.61 | 1 |
| NV | $163.78 | 1 |
| NY | $159.75–$189.08 | 5 |
| OH | $159.89 | 1 |
| OK | $156.93 | 1 |
| OR | $162.48–$171.20 | 2 |
| PA | $159.70–$170.68 | 2 |
| PR | $165.54 | 1 |
| RI | $167.99 | 1 |
| SC | $159.33 | 1 |
| SD | $159.90 | 1 |
| TN | $156.03 | 1 |
| TX | $159.10–$168.26 | 8 |
| UT | $160.65 | 1 |
| VA | $161.73–$181.74 | 2 |
| VI | $165.54 | 1 |
| VT | $160.61 | 1 |
| WA | $167.59–$181.98 | 2 |
| WI | $157.19 | 1 |
| WV | $160.52 | 1 |
| WY | $163.00 | 1 |
How the 95719 rate is calculated
Each of 95719’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95719
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense1.78
1.78 RVUs× 1.000 GPCI
Malpractice0.23
0.23 RVUs× 1.000 GPCI
Adjusted RVUs
4.9400
Conversion factor
$33.4009
Medicare rate
$165.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact West Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,509
- Code
- 95719
- Physician work
- 2.93
- Practice expense
- 1.78
- Malpractice
- 0.23
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 1.78 | × 0.869 | 1.5468 |
| Malpractice | 0.23 | × 1.431 | 0.3291 |
| Total RVUs | 4.8060 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$160.52
Office: (2.93 × 1 + 1.78 × 0.869 + 0.23 × 1.431) × $33.4009 = $160.52
Facility: (2.93 × 1 + 0.85 × 0.869 + 0.23 × 1.431) × $33.4009 = $133.53
Payment rules and modifiers for 95719
95719 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95719
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$165.00
- Non-facility (office)
- $165.00
- Facility
- $133.94
Higher because the practice carries its own overhead.
How 95719 has changed in West Virginia
95719 · Office / nonfacility
$160.52
Effective 2026-10-01
The base rate is $8.80 higher than on 2025-10-01, moving from $151.72 to $160.52 (5.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$151.72changed to$160.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 1.59 changed to 1.78
- Malpractice RVU 0.24 changed to 0.23
- Practice expense GPCI 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$155.85changed to$151.72
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.58 changed to 1.59
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$153.30changed to$155.85
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$153.07changed to$153.30
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.44 changed to 1.58
- Malpractice RVU 0.22 changed to 0.24
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$154.21changed to$153.07
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.39 changed to 1.44
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$154.47changed to$154.21
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.37 changed to 1.39
- Malpractice RVU 0.21 changed to 0.22
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$159.16changed to$154.47
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.34 changed to 1.37
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$159.16
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $160.52 | $133.53 | RVU26D |
| 2026-07-01 | $160.52 | $133.53 | RVU26C |
| 2026-04-01 | $160.52 | $133.53 | RVU26B |
| 2026-01-01 | $160.52 | $133.53 | RVU26A |
| 2025-10-01 | $151.72 | $149.49 | RVU25D |
| 2025-07-01 | $151.72 | $149.49 | RVU25C |
| 2025-04-01 | $151.72 | $149.49 | RVU25B |
| 2025-01-01 | $151.72 | $149.49 | RVU25A |
| 2024-10-01 | $155.85 | $153.55 | RVU24D |
| 2024-07-01 | $155.85 | $153.55 | RVU24C |
| 2024-04-01 | $155.85 | $153.55 | RVU24B |
| 2024-03-09 | $155.85 | $153.55 | RVU24AR |
| 2024-01-01 | $153.30 | $151.05 | RVU24A |
| 2023-10-01 | $153.07 | $151.32 | RVU23D |
| 2023-07-01 | $153.07 | $151.32 | RVU23C |
| 2023-04-01 | $153.07 | $151.32 | RVU23B |
| 2023-01-01 | $153.07 | $151.32 | RVU23A |
| 2022-10-01 | $154.21 | $153.02 | RVU22D |
| 2022-07-01 | $154.21 | $153.02 | RVU22C |
| 2022-04-01 | $154.21 | $153.02 | RVU22B |
| 2022-01-01 | $154.21 | $153.02 | RVU22A |
| 2021-10-01 | $154.47 | $152.98 | RVU21D |
| 2021-07-01 | $154.47 | $152.98 | RVU21C |
| 2021-04-01 | $154.47 | $152.98 | RVU21B |
| 2021-01-01 | $154.47 | $152.98 | RVU21A |
| 2020-10-01 | $159.16 | $157.62 | RVU20D |
| 2020-07-01 | $159.16 | $157.62 | RVU20C |
| 2020-04-01 | $159.16 | $157.62 | RVU20B |
| 2020-01-01 | $159.16 | $157.62 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
95719 billing questions
When is 95719 reported instead of 95717?
95717 represents the initial no-video physician or qualified health care professional EEG service. Report 95719 for each additional 12-hour increment of that service.
What is the difference between 95719 and 95720?
Both describe additional 12-hour increments of professional EEG service. Use 95719 for recordings without video and 95720 when the professional service includes video EEG.
Does 95719 cover the EEG recording equipment or setup?
No. It represents clinician review and interpretation of the EEG data; electrode application and technical recording are separate service functions.
How should units be supported?
Document the EEG monitoring duration and the physician’s or qualified health care professional’s review and interpretation. Report the code for each additional 12-hour increment supported by the service.
When should a longer-duration code be considered?
For a prolonged no-video study extending beyond the incremental service pattern, compare the total recording duration with the duration-specific professional codes, including 95721.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 95719 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist